Education
PLASTIC & RECONSTRUCTIVE SURGERY SPECIALISTProf. Fabio Santanelli di Pompeo

The training activity on breast reconstruction carried on by Prof. Santanelli di Pompeo with DIEP flap, Latissimus Dorsi flap, lipofilling and others procedures, is part of a custom made scientific program to raise the number of surgeons able to perform procedures in the field of microvascular surgery and autologous tissue transfer. Special attention is reserved to the education of young surgeons, with the intention to create a school of surgery aiming at popularizing the DIEP flap procedure in Italy, and to increase the number of plastic surgeons specialized in such technique, in order to make it easily available to those women that have to cope with the difficult experience of beeing addressed to a radical mastectomy.

Please contact us for further information on educational activity.

Chair of Plastic Surgery, “Sapienza” University of Rome, School of Medicine and Psicology.

University Program in Plastic Reconstructive and Aesthetic Surgery.

At the “Sapienza” University of Rome, School of Medicine and Psychology.

Director: Prof. Fabio Santanelli di Pompeo.

It started on 2007 and is the first Master, in Italy, dedicated to selective education on breast reconstruction techniques, with special attention to DIEP, Latissimus Dorsi flaps and fat grafting. The Master offers a practical and detailed education on these procedures, through direct participation to surgery along 12 months course. The Master is repeated annualy and addressed to any post-graduated students in Medicine and/or full board in Plastic Surgery, with a maximum number of 15 candidates per year, usually coming from all over Italy and other European countries.

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It is a research and clinical program providing a professional training for physicians to acquire specialist competencies in a specific area of surgical application.

Goals: the goal of the course is the acquaintance with the vascular and nervous microsurgical suturing techniques, the preparation of experimental research protocols on animal models and their clinical application, expecially concerning reconstruction procedures of the breast, head and neck and limbs.

Duration: The duration of the program is 3 months, divided in teaching sessions that take place at the Bioscience department of the Tecnopolo of Castel Romano, located in Via di Castel Romano 100 in Rome and at the Sant’Andrea Hospital found in Via Grottarossa 1035, also in Rome.

Admission and Selection criteria: candidate interested to participate the Fellowship should send by mail to the secretary of Prof. Fabio Santanelli di Pompeo (Azienda Ospedaliera Sant’Andrea, via di Grottarossa 1035, 00189 Rome) or by e-mail to fabio.santanelli@uniroma1.it, the participation enquiry in unstamped paper together with the curriculum vitae and a reference letter from the chief of the hospital department or the University of origin. The candidate should also possess the following qualifications:

  1. Medical doctor degree and work permit (Medical students can participate in form of a clinical attachment)
  2. Medical Professional liability coverage
  3. Insurance for work-related injury or accident
  4. Health certificate

The candidates will be selected and admitted based on their Curricula and after being invited for an eventual preliminary interview.

Teaching program: The formation course includes 3 months of obligatory attendance and will consist of theory lessons and practical exercises on biological or animal model, performed at the Bioscience department of the Tecnopolo of Castel Romano.

The lessons will deal with the basic methods for the execution of arterial and venous vascular anastomosis, neurorraphies and with the preparation and clinical application of the main microsurgical flaps (aut. Min. Sal. Nr. 179/2010, of 15/10/10).

The rat Wistar will be used as animal model, anesthetized by the veterinary medical personnel under the tutoring guide of the cooperating teachers (ministry authorization as of the article 8 of the Legislative decree. 116/92 “Animal use for teaching purposes”). The available instruments will be an optical microscope with basic microsurgical equipment, suture material and a macro-surgical set including a clamp, scissors and a scalpel. In order to determine the evolution of the apprehension, each participant will be evaluated at the end of each session with a 1 to 5 point system in each of the following parameters: dissection technique, section technique and microsurgical suturing, anastomosis patency and time of execution.

Thanks to an active agreement with the Department of Plastic Surgery of the II Faculty, University of Rome “Sapienza” (art.11 Conv. CHIRPLAST/DBS 21/10/10), it will be possible to integrate, after satisfying the obligatory requests of the Hospital Direction and with no additional charging, the teaching program of the course with the participation during surgical operations at the U.O.D of Plastic Surgery of the Sant’Andrea Hospital of Rome. A certificate of participation will be given at the end. Participants will be allowed to learn the most relevant procedure for reconstruction of the breast, head and neck and limbs.

Teaching Sessions:

  • Introduction to experimental microsurgery: Microscope, microsurgical instruments and suture material
  • Microsurgical suturing techniques: Neurorraphy, E-E, E-S vascular anastomosis
  • Simulation on a non biologic model
  • Anatomy of the rat: abdominal and inguinal region
  • Practice exercises on the animal model: femoral artery, vein, nerve
  • Practical exercises on the animal model: flap preparation
  • DIEP flap raising and its clinical applications
  • SIEA flap raising and its clinical applications
  • ALT flap raising and its clinical applications
  • Latissimus Dorsi flap raising and its clinical applications
  • Fibula flap raising and its clinical applications
  • Radial flap raising and its clinical applications

Cost: the admission fee is 1.650,00 €, for medical doctors, resident in training and free practitioner; 2.250,00 physicians from NHC, it includes free affiliation for one year to SIM Società Italiana di Microchirurgia. The maximum number of participants is limited to 2 persons/trimester.

Payment method: Eurotraining Srl – Banca Popolare di Ancona – Via Michelangelo 2 – 65121 Pescara; IBAN: IT06J0530815400000000002949 SWIFT CODE: BLOPIT22; Object: Fellowship in clinical and experimental reconstructive microsurgery: Prof. Fabio Santanelli di Pompeo.

For further informations: Eurotraining Srl – Via B. Bosco, 57/9 – 16121 – Genova, Email: mail@eurotraining.it – Tel. +3901042064090.

Dott. Michail Sorotos – email: michail.sorotos@uniroma1.it – Tel. +39.06.33.77.58.32 – Fax. +39.06.33.77.56.49

In collaboration with S&T and Zeiss Italy.

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Scientific meeting issued annually, for physicians interested in breast surgery, aiming at providing updates in breast’s reconstructive and aesthetic surgery, focusing on the concerns of the different techniques to reveal tips, tricks and how-to’s.

The meeting is usually sponsored by the Ministry of Health, the European Association of Plastic Surgeons (Euraps), the Italian Society of Plastic, Reconstructive and Aesthetic Surgery (Sicpre), the Society of Plastic Surgeons of Central Italy (Acpic), and the Italian Society of Microsurgery (SIM).

1st International Breast Surgery Workshop, “From Mastectomy to Replacement of the Breast: Perspective and Advances” Rome, Castello della Castelluccia, January 23-24, 2009;

2nd International Breast Surgery Workshop “Problems, complications and safety”, Rome, Ministry of Health, January 14-15, 2011;

3rd International Breast Surgery Workshop, Joint Meeting with Swedish Society of Plastic Surgery, Rome, April 26-27, 2013.

4th International Breast Surgery Workshop, Joint Meeting with the British Association of Plastic Surgeons, Ministero della Salute, Via G. Ribotta 5, Roma 17-18 Aprile 2015.

5th International Breast Surgery Workshop, Joint Meeting with the Royal Belgian Society for Plastic Surgery, Ministero della Salute, Via G. Ribotta 5, Roma 28-29 Aprile 2017.

President prof. Fabio Santanelli di Pompeo and Prof. Moustapha Hamdi.

Is an online educational project conceived by prof. Fabio Santanelli and managed by himself and his team. It is a web-site www.echirurgiaplastica.it meant for the education and teaching of the most common pathologies in Plastic Surgery and their correction, to Medical students and Plastic Surgery trainees.

The possibility to know pecisesly the breast volume on which to operate is of outmost importance for surgeons, either in aesthetic either in reconstructive plastic surgery. Untill yesterday several methods have been described, some very complicate to performe and some other unreliable for the results obtained.

Prof. Fabio Santanell and Dott. Benedetto Longo have carried out a scientific study that allowed to realize a simple and statistically reliable method to measure breast volume. Ten different anthropometric measures were taken from 88 women, before undergoing to mastectomy for breast cancer; results have been later correlated to breasts volumes measured from surgical specimens, and only 3 (sternal notch-to-nipple distance, inframammary fold-to-fold projection distance and inframammary fold-to-nipple distance) out of 10 were found statistically significant. An algorithm was then developed, BREAST-V®, based on the simple determination of the 3 measures and able to precisely measure the volume of the studied breast.

To simplifye its use the Diepflap.it Medical Software has produced and delivered to Apple an “App” for iOS devices (iPod, iPhone, iPad) available on App Store, able to quickly performe the calculation.

Today thank to the BREAST-V® it is possible a fast, non invasive and statistically reliable breast volume determination. Such innovative method is of out most importance in all breast surgery, either aesthetic procedures as breast augmentation or correction of asymmetries, either reconstructive breast procedures after cancer.

Sentinel Lymph Node Biopsy is today considere as the gold standard in axillary staging of breast cancer patients. Although a recent American paper highlights that in case of Sentinel Lymph Node metastasis a Complete Axillary Lymph Nodes Dissection doesn’t impact on survival, this procedure is actually indicated, and only in 35-50% of these patients additional nodal metastases are shown.

To assess the risk of Metastases to the residual Axillary Lymph Nodes several statistic methods were described, starting from the first tool (Memorial Sloan-Kettering Cancer Center Breast Service, 2003). Thus, aim of these tools is to calculate the probability of additional axillary disease in Sentinel Lymph Node positive patients, and the final goal is to avoid unnecessary Complete Axillary Lymph Nodes Dissection in low risk breast cancer patients.

After the validation of the most used published tools, an original method was developed based on the case mix from Sant’Andrea Hospital and other Breast Units, that takes in consideration the following variables to calculate the risk: primary tumor size, histological type, grading, Sentinel Lymph Node metastases size, and positive Sentinel Lymph Node/total Sentinel Lymph Node ratio.

To allow its diffusion and validation the statistical model has been transformed into an “App” for IOS platform, downloadable for free by the Apple Store, designed for mobile devices as iPhone, iPad and iPod, with the goal to provide an helpful and easy decisional tool, with a clinic feasibility and not only in a research environment.

The application “Thromboembolism Risk” is based on the official Thromboembolism Risk Assessment Protocol adopted by the Sant’Andrea Hospital of Rome after a multidisciplinary consensus for the prevention of DVT/PE in surgical patients.

The protocol represents a modification of the original Caprini Risk Assessment Model.

The application for iPhone and iPad aims at making easier the collection and elaboration of the various risk factors and offering thorough guidelines for the peri-operative treatment of surgical patients.

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Healing is a process that can be considered complete when, finally, you might recognize yourself into your own body, despite unavoidable changes...

In the last decades Plastic Surgery, has become part of the oncologic treatment protocol, as the importance of the reconstructive stage following resection of a diseased body part has been universally recognized. Concerning breast tumor, most advanced hospitals set up a “Breast Unit”, multidisciplinary functional unit composed by different specialists who cooperate to offer to the patient the best opportunity available from medical science, to contrast tumor disease and return to normal life.

There are several breast reconstructive procedures, even though expander and prosthesis is the most known. This web-site is dedicated to women undergoing mastectomy and willing to know all reconstructive opportunities. Main goal is to present “autologous” procedures using live tissues from the patient itself as a sort of “auto-transplant”. Advances in vascular microsurgery and in peri-operative patient care have allowed for outstanding steps forward to restore the female body image.

Once all aspects have been taken into proper consideration, a woman should be assisted during choice with broad information, evaluating pro and cons among any surgical procedure, so she can decide what is best for her.